Fatimat Motunrayo Akinlusi

Lagos State University College of Medicine Ikeja.

Current World Health Organization guidelines recommend fasting 2-hour tests for all pregnant women, a strategy that is burdensome for patients as well as time and labor-intensive for health systems. There have been suggestions for the use of clinical risk factors-based models as alternatives. These have not been widely tested especially in low-reso...

Background: Effective treatment intervention for uterine leiomyoma is essential to prevent morbidities and associated potential mortalities. Objective: To determine the prevalence, clinical presentation of uterine leiomyoma and the outcome of surgical management options at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Nigeri...

Introduction The novel SARS corona virus (SARS COV 2) causing the Corona Virus Disease (COVID--19) was first reported in Wuhan, China in 2019 and became a global pandemic in 2020 with severe health and economic consequences forcing nations to declare nationwide lockdown to limit the ragging pandemic. Different patterns of signs and symptoms as well...

Objective The aim of this study is to determine the effectiveness of antenatal corticosteroid in reducing respiratory morbidity in babies born in the late preterm period. Materials and methods Two hundred and eighty-six pregnant women at risk of having a late preterm delivery were studied. One hundred and forty-three (143) served as the cases and w...

Background Prior caesarean delivery (CD) impacts CD rates in many parts of the world. In low and middle-income countries, few women attempt a trial of labour after caesarean delivery (TOLAC) due to inadequate resources for safe vaginal birth after caesarean delivery (VBAC). The CD rates continue to rise as more women undergo repeat CD. In Nigeria,...

Background: During the postpartum period, family planning (FP) can prevent about 30% of maternal mortality and 10% of child mortality if couples space their pregnancies more than 2 years apart. Conversely, closely spaced pregnancies within the first year postpartum increase the risks of preterm birth, low birth weight, and small-for-gestational-age...

Objective:This study determined pregnant women’s awareness, and determinants of uptake of National immunization recommendations for a maternal tetanus vaccine. Study Design: A cross-sectional study of 347 eligible pregnant women who attended the booking antenatal clinic of institute of maternal and child health (IMCH). Structured interviewer-admini...

Aims: This study aimed to determine the prevalence and factors associated with intimate partner violence (IPV) among pregnant women attending antenatal clinic at a Tertiary health centre in Southwest Nigeria. Study Design: This research was a cross sectional descriptive study among pregnant women. Place and Duration of Study: The study was conducte...

To facilitate improvements in health service delivery, patients’ satisfaction with gynecological services was assessed at a tertiary hospital. Five hundred gynecological care-seekers who presented for outpatient consultation, inpatient care, or theatre procedures had face-to-face interviews using close-ended questionnaires. The assessment encompass...

Aims: This study aimed to determine the prevalence and factors associated with intimate partner violence (IPV) among pregnant women attending antenatal clinic at a Tertiary health centre in -Southwest Nigeria.Study Design: This research was a cross sectional descriptive study among pregnant women.Place and Duration of Study: The study was conducted...

Aims: This study was aimed at determining the prevalence and associated factors of suicidal ideation among pregnant women attending antenatal clinics at Ekiti State University Teaching Hospital. Study Design: This research was a cross-sectional descriptive study among pregnant women. Place and Duration of Study: The study was conducted at the anten...

Background: Polycystic ovarian syndrome (PCOS) is a very common endocrine cause of infertility affecting about 10% of women of reproductive age. We evaluated the pattern of reproductive hormones in infertile Nigerian women with PCOS. Methods: This was a prospective cross-sectional study at the Lagos State University Teaching Hospital over a 6-month...

Introduction: the burden of overweight and obesity is rapidly increasing worldwide with significant health and social consequences. We determined the prevalence of overweight and obesity, pattern of gestational weight gain (GWG) and the associations of these with perinatal outcome among pregnant women in Lagos, Nigeria. Methods: this was a retro...

Aims: This study was aimed at determining the prevalence and associated factors of suicidal ideation among pregnant women attending antenatal clinics at Ekiti State University Teaching Hospital. Study Design: This research was a cross-sectional descriptive study among pregnant women. Place and Duration of Study: The study was conducted at the anten...

Introduction Involuntary leakage of urine and or stool per vaginam (vaginal fistula) after childbirth remains a public health challenge in Africa and South East Asia. To the best of our knowledge, there is no previous national data that examined the awareness of vaginal fistula among women in Nigeria. Aim To determine the prevalence of awareness o...

Background: There has been a global increase in cesarean section rates. While this has improved perinatal outcome, it is associated with complications such as wound infection. We determined risk factors for cesarean section wound infection in a tertiary hospital in Lagos, Nigeria. Materials and methods: We prospectively studied a cohort of 906 w...

Background: concern in many developing countries including Nigeria. Tubal disease is the most common cause of female infertility in Africa. Sero account for a large proportion of asymptomatic genital tract infections by demonstrating a strong link between tubal pathology and the presence of chlamydial antibodies. OBJECTIVE: To compare the serum Chl...

Aims: To determine the prevalence of urinary incontinence, risk factors and impact on the quality of life in gynecological clinic attendees of a University Hospital. Methods: A cross sectional descriptive study was conducted amongst gynecological clinic attendees in a Teaching Hospital in Nigeria from 1st February to 31st July 2017. Structured ques...

Background: Young people, especially those in tertiary institutions are vulnerable to unplanned and unprotected sexual intercourse which predisposes them to unintended pregnancies and subsequently unsafe abortions. One of the key interventions for reduction of unwanted pregnancies and unsafe abortions is effective use of emergency contraceptives. O...

Background and aims: Human papillomavirus (HPV) vaccination is recommended for adolescent girls and would offer a long-term solution to cervical cancer especially in developing countries. However, parental perception and acceptance is a critical success factor. This study examined the degree of parental acceptance of HPV vaccination for adolescent...

Abstract— Extrapelvic endometriosis a is rare condition and most cases occur after gynecological or obstetrics procedure involving the uterus. Uterocutaneous fistula is a rarely reported clinical condition after uterine procedures. In this case report, endometriotic uterocutaneous fistula with lower uterine synechiae following complicated caes...

Background: Adipocytokines have been recently implicated in the pathogenesis of preeclampsia. Visfatin is one of such adipokines. Objective: To determine the association between serum visfatin levels and preeclampsia. Methods: A prospective, case-control study was carried out in 160 pregnant women consisting of 80 pre-eclamptics and 80 normotensive...

Background: Progesterone only injectable contraceptive provides long acting contraception against unwanted pregnancy. Alterations in menstrual pattern are a well known side effect of this effective contraceptive method. Objective of this study was to compare the weight gain and pattern of menstrual abnormalities in users of Depot Medroxyprogesteron...

Background: The Papanicolaou (Pap) smear is a standard test for cervical cancer screening; however, the most important challenge is high false-negative results due to inadequate sampling using the Ayres spatula. The cytobrush has been used in combination with the Ayres spatula (cytobrush-spatula) in an attempt to improve the quality of smears with...

Aims: To determine the prevalence of urinary incontinence (UI); risk factors; impact on quality of life and symptom specific health seeking behaviour. Methods: A cross-sectional study of 395 women attending gynaecological clinic of the Lagos State University Teaching Hospital. UI was defined as the complaint of any involuntary leakage of urine in t...

Aims: To review the classification systems of obstetric fistula (OF). Methods: A two-day stakeholders’ meeting in Nigeria involving fistula surgeons, nurses, anesthetists, trainee, fistula desk officers at the federal and state government levels and other stakeholders was facilitated by Engender health. The meeting involved presentation of common c...

Background: Eclampsia remains a leading contributor to maternal mortality, particularly in developing countries, and remains a challenge even to the most experienced obstetrician. We aimed to determine the factors associated with maternal mortality in eclamptics at the Lagos State University Teaching Hospital (LASUTH), Nigeria, in order to suggest...

Addressing unsafe abortion in developing countries may propel a rapid decline in overall maternal death. A retrospective review of patients with complicated unsafe abortion was conducted in a Nigerian Tertiary Hospital. In order to provide evidence that may inform policy changes, we describe patients’ clinical profiles, abortion providers, and morb...

Abstract Background Caesarean delivery carries a risk of major intra-operative blood loss and its performance is often delayed by non-availability of blood and blood products. Unnecessary cross-matching and reservation of blood lead to apparent scarcity in centres with limited supply. This study set out to identify the risk factors for blood transf...

Background: The recommended time for decision-delivery-interval (DDI) in emergency caesarean section is 30 minutes, though this is rarely achieved in practice. Good perinatal outcome has been achieved with DDI up to 240 minutes. Objectives: To evaluate the average time it took to deliver the baby by emergency caesarean section after the decision...

We studied the practice of malaria prevention and treatment in pregnancy of 394 private medical practitioners in Lagos State, Nigeria using a self-administered pre-tested structured questionnaire. Only 39 (9.9%) respondents had correct knowledge of the World Health Organization (WHO) strategies. Malaria prophylaxis in pregnancy was offered by 336 (...

Background: Cases of sexual assault are increasingly reported. However, Nigerian researchers have not given adequate attention to this subject despite its attendant social, physical and psychological consequences.This study assessed survivors' characteristics, circumstances of assault and treatment offered with a view to reducing the incidence as...

Physicians with gynaecological training often have correct information about contraceptive technologies, their effects and benefits. Their personal choices may affect their practice. The objectives of this study are to find out what contraceptives Nigerian trainee gynaecologists use, and if this affects the way they counsel their clients. This was...

Adoption as a treatment option for infertility amongst those that cannot access and/or afford assisted reproduction is not well accepted in developing countries. This study sets out to determine the willingness of infertile women in developing countries to adopt a child and factors that influence women's attitude to adoption. We conducted a questio...

Reproductive tract infections (RTI's) are endemic in developing countries and entail a heavy toll on women. If untreated, RTI's can lead to adverse health outcomes such as infertility, ectopic pregnancy and increased vulnerability to transmission of the human immunodeficiency virus. It is also associated with adverse pregnancy outcomes. While RTI's...

Background Although not a life threatening condition, pelvic organ prolapse can affect a woman’s quality of life by limiting physical, social, psychological and sexual functions. There is paucity of publication on the subject in Nigeria. We determined the incidence, pattern of presentation, factors determining treatment modalities and complications...

This was a retrospective descriptive study of all the patients who underwent emergency peripartum hysterectomy from January 1st 2003 to December 31st 2007 at the Lagos State University Teaching Hospital. Of the 15,067 deliveries during the study period, 57 patients had emergency peripartum hysterectomy (3.78/1000 deliveries). 19.3% of these patient...

Erectile dysfunction (ED) and lower urinary tract symptoms (LUTS) due to benign prostatic hyperplasia (BPH) are highly prevalent in aging men. It is also necessary to evaluate ED before and subsequent to treatment intervention, when a patient presents with BPH. Current evidence suggests that there is an association between these two clinical condit...